Individual
LEON T BABU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
307 E SOUTHERN AVE, TEMPE, AZ 85282-5201
(480) 967-4801
Mailing address
307 E SOUTHERN AVE, TEMPE, AZ 85282-5201
(480) 967-4801
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0857
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17973001
—
AZ
Enumeration date
08/30/2006
Last updated
11/08/2011
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